Burnette Catherine E, Renner Lynette M, Figley Charles R
School of Social Work, Tulane University, 127 Elk Place, New Orleans, LA, USA.
School of Social Work, University of Minnesota, 105 Peters Hall, 1404 Gortner Avenue, St. Paul, MN, USA.
Br J Soc Work. 2019 Jun;49(4):943-962. doi: 10.1093/bjsw/bcz041. Epub 2019 Apr 26.
Given chronic experiences of historical oppression, Indigenous peoples tend to experience much higher rates of depression than the general US population, which then, drives disproportionately high rates of suicide and other health disparities. The purpose of this research was to examine the core components of the culturally grounded Framework of Historical Oppression, Resilience, and Transcendence as they relate to depressive symptoms experienced by Indigenous peoples. As part of a larger convergent mixed-methods study, in this quantitative survey component, we utilised data from a sample of 127 Indigenous adults across two Southeastern US tribes. Regression analysis results signified support for the framework, indicating that historical oppression and proximal stress (daily stressors and lower incomes) were risk factors, whereas family resilience and life satisfaction (a measure of transcendence) were protective factors related to depressive symptoms. The results provide a foundation for future research to build upon in identifying culturally relevant risk and protective factors to ameliorate depression and other health disparities.
由于长期遭受历史压迫，美国原住民患抑郁症的比例往往远高于美国普通人群，进而导致自杀率和其他健康差距异常高。本研究的目的是检验基于文化的历史压迫、复原力和超越框架的核心组成部分，以及它们与美国原住民经历的抑郁症状之间的关系。作为一项更大规模的收敛性混合方法研究的一部分，在这个定量调查部分，我们使用了来自美国东南部两个部落的127名成年原住民样本的数据。回归分析结果表明该框架得到了支持，表明历史压迫和近端压力（日常压力源和低收入）是风险因素，而家庭复原力和生活满意度（一种超越的衡量标准）是与抑郁症状相关的保护因素。这些结果为未来的研究奠定了基础，以便在确定与文化相关的风险和保护因素以改善抑郁症和其他健康差距方面进一步开展研究。
